Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[Hypercapnea during thoracoscopic surgery under regional anesthesia]

K Koishi1, N Miyazaki, Y Oe

  • 1Second Department of Anesthesiology, University of Toho School of Medicine, Tokyo.

Masui. the Japanese Journal of Anesthesiology
|July 1, 1997
PubMed
Summary

A patient experienced respiratory distress during thoracoscopic surgery due to regional anesthesia, leading to the cancellation of the procedure. Prompt intervention with manual ventilation restored spontaneous breathing and consciousness.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

BevRam-GC01 study protocol: a phase I trial of bevacizumab plus ramucirumab and paclitaxel in advanced gastric cancer.

ESMO gastrointestinal oncology·2026
Same author

Synaptic modulation of excitatory synaptic transmission by nicotinic acetylcholine receptors in spinal ventral horn neurons.

Neuroscience·2015
Same author

Three-dimensional characterization of ODS ferritic steel using by FIB-SEM serial sectioning method.

Microscopy (Oxford, England)·2014
Same author

Effects of green tea extract and (-)-epigallocatechin-3-gallate on pharmacokinetics of nadolol in rats.

Phytomedicine : international journal of phytotherapy and phytopharmacology·2013
Same author

Reactive oxygen species enhance excitatory synaptic transmission in rat spinal dorsal horn neurons by activating TRPA1 and TRPV1 channels.

Neuroscience·2013
Same author

Usefulness of an anesthetic conserving device (AnaConDa™) in sevoflurane anesthesia.

Minerva anestesiologica·2012

Area of Science:

  • Anesthesiology
  • Pulmonology
  • Thoracic Surgery

Background:

  • A 23-year-old female with a history of histiocytosis X and multiple pneumothoraces was scheduled for thoracoscopic surgery.
  • Preoperative assessment revealed normal arterial blood gas values, but regional anesthesia was selected due to patient history and sensitivities.

Observation:

  • During surgery, the patient developed rapid, shallow breathing, restlessness, and coma.
  • The procedure was aborted, and arterial blood gas analysis showed significant abnormalities.
  • Manual artificial ventilation was initiated, leading to recovery of spontaneous respiration and consciousness.

Findings:

  • The patient's respiratory event was attributed to tachypnea, likely triggered by anxiety, dyspnea, and airway irritant receptor stimulation.

Related Experiment Videos

  • Shortened inspiratory duration during tachypnea led to decreased tidal volume and subsequent hypercapnia.

    • Implications:

    • This case highlights the potential risks of regional anesthesia in patients with complex respiratory histories.
    • Careful patient selection and monitoring are crucial for managing respiratory complications during thoracic procedures.
    • Understanding the pathophysiology of tachypnea-induced hypercapnia is important for anesthetic management.